两种腹部皮瓣修复手部皮肤脱套伤的术后观察

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1、英文摘要ThepostoperativeobservationontwotypesofabdominalskinflaptorepairthehandskinofdeglovinginjuryABSTRACTObjective：Thehandskinofdeglovingil!jlll’yintheclinicalhandinjuryisacommonkindoftrauma，theinjuredisofteninjuredbytheactionsofwiththestructureofarollermachine，the

2、machineundertheactionofextrusionandthepulloftheinvoluntary，producehandskin，subcutaneoustissue，bloodvessels，nervesandsetofftogether．Althoughthereareavarietyofmethodsclinicallyrepairingsuchdamage，butcurativeeffectisnotexact，stillisadimcultproblemin．Thisstudyexploret

3、heimprovedabdominalultra-thinbagsflapwithpedicleiliacgroinskinflaptorepairhandskintotakeoffthesetoflarge．areainjuryeffectofclinicalapplication，andtoguideclinicalopponentsofthetreatmentforhandskinofdeglovinginjury．Methods：BetweenJanuary201andSeptember2012inourhospi

4、talpatientswithsurgicaltreatmentoffingerinjuryofhandskin30cases，18casesofmen，women，12patients，aged14—52，areassociatedwithdifferentlevelsofmultiplefingersandthepalmofyourhandandhandbacktheskintotakeofftheset．Wererandomlydividedintoexperimentalgroup(groupimprovedabd

5、ominalultra—thinbagsflap)15casesandthecontrolgroup(grouppedicleiliacgroinflap)15cases．Twogroupsofpatientsfromtheagestructure，sexstructurewithnostatisticallysignificantdifferencewereobservedinthedegreeofinjuryfP>0．05)．Maincomparativeobservationofswellingintheskinfl

6、apafteroperation，infection，bloodsupply(test)capillaryfillingtime，appearance，feelingnervefunctionalrecovery，handmovementfunctionrecovery(activityofthepl’oximalinterphalangealjointandmetacarpophalangealjoint)fromtreatmenl，patients’subjectivesatisfaction，satisfaction

7、，andthetotaleffectiveratediffel’ence．Twosurgicalpreparation：patientstakethehypothesis，limboutreach90degrees，afteranesthesiasatisfaction，standbytourniquet(withactivebleeding英文摘要limbbloodafterairdisplacementcanadvanceto250MMHG)，woundwithwaterandsoapwater，hydrogenper

8、oxidesolutionofhydrogenperoxide(3％)，normalsaline(，O．9％nacl)andnewcleansonoutorbenzalkoniumchloride(benzaIkoniumbromide)aminesolutionafterflushing，iodine